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Individual

DAVID A. HILBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 E ST, PATTERSON, CA 95363-2670
(209) 892-5978
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A41187
CA
207Q00000X
Family Medicine Physician
Primary
A41187
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A411870
CA
Enumeration date
05/12/2006
Last updated
10/12/2012
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